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Functional Reconstruction of Forehead and Midface Deficits Using the Endoscopic Technique and Bio-Absorbable

Jared Johnson1, Houmehr Hojjat1, Michael T Chung1

  • 1Division of Facial Plastic Surgery, Department of Otolaryngology, Wayne State University, Detroit, MI, USA.

Plastic Surgery (Oakville, Ont.)
|September 4, 2020
PubMed
Summary
This summary is machine-generated.

Bio-absorbable implants and endoscopic surgery effectively reconstruct forehead and midface functional deficits. This safe approach showed no major complications, with minor issues typically resolving temporarily.

Keywords:
Endotinebrow ptosisendoscopic brow surgerymidface descent

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Biomaterials

Background:

  • Forehead and midface functional deficits can cause significant patient problems, ranging from asymmetry to paralysis.
  • Reconstruction of these deficits is crucial for restoring function and improving quality of life.

Purpose of the Study:

  • To analyze the use of bio-absorbable implants for functional (non-cosmetic) reconstruction of forehead and midface deficits.
  • To evaluate the safety and efficacy of an endoscopic approach combined with bio-absorbable implants.

Main Methods:

  • A retrospective case series of 50 patients undergoing functional reconstruction between 2008 and 2018.
  • Procedures utilized an endoscopic technique and bio-absorbable implants for forehead, eyebrow, and midface deficits.
  • Data collected included patient demographics, etiologies, and complication rates.

Main Results:

  • No major operative complications (stroke, permanent nerve paralysis, mortality) were observed in 50 patients.
  • Minor complications included temporary nerve paresthesia (4%), infection (2%), and implant migration requiring revision (6%).
  • The most common procedures were combined blepharoplasty and brow lift, followed by midface lift and browplasty.

Conclusions:

  • The endoscopic approach with bio-absorbable implants is a safe and effective method for reconstructing functional forehead and midface deficits.
  • The study reported zero major complications, with most minor complications being temporary.
  • Non-age-related functional impairment was significantly associated with a higher risk of complications.